The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria

Beatrice Wobiarueri Moore-Igwe; Ransom Baribefii Jacob; Serekara Gideon Christian; Evelyn Mgbeoma Eze

doi:doi:10.11648/j.iji.20221001.12

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The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria

Beatrice Wobiarueri Moore-Igwe, Ransom Baribefii Jacob, Serekara Gideon Christian, Evelyn Mgbeoma Eze

Published in International Journal of Immunology (Volume 10, Issue 1)

Received: 17 February 2022 Accepted: 15 March 2022 Published: 31 May 2022

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Abstract

Background: In other to enhance immune response and remove completely the danger of disease associated with AIDS, commencement of combination Antiretroviral Therapy (cART) is advocated. Common among HIV positive subjects are diseases such as cardiovascular conditions among others which happen when there is distortion in the gut mucosa, existence of co-infections, and long-term cART effect which gives room to vicious cycle that impairs on immune activities and inflammation. Inflammatory predictors which reveal the danger of morbidity and mortality are raised in HIV disease. A novel marker for inflammation – Platelet/Lymphocyte ratio (PLR), is a prognostic tool for assessing inflammation, atherosclerosis and platelet activation. Aim: This study was aimed at assessing prospectively, cART effect on the PLR and coagulation indices in HIV positive subjects presenting to commence cART in Rivers State University Teaching Hospital. Methods: Six milliliters of venous blood was collected from each participants into EDTA bottles at entry into the study, after 3 months and 6 months on cART respectively for Full Blood Count using a 3-part Sysmex XP300 and HIV Viral Load using RT-PCR Cobas TaqMan version 1.5 Results: A total of 40 subjects were recruited, with a mean age of 36.20 years, 14 (35%) of them were males. Mean PCV, Platelet: Lymphocyte ratio and HIV VL at Month 0 were 31.65±7.30%, 7.82±2.90 and 215767.85 ± 360338.04cp/ml respectively. There was a statistically significant increase (p <0.001) in the haematocrit by the 6^th month on cART, the reduction in Platelet: Lymphocyte count and of HIV VL by the 6^th month was also significant (P<0.001). Interestingly, PLR positively correlated with the VL at baseline (0.3676), however, there was a negative correlation at 3 months (-0125) and 6 months (-0.028). Conclusion: From this work it is clear that all the cases in this regard, confirm the fact that cART remarkably drops the viral load and inflammation in HIV positive subjects; nevertheless, it also shows that a low-level inflammation continues which probably leads to chronic inflammatory state, morbidity and mortality in this group of subjects.

Published in	International Journal of Immunology (Volume 10, Issue 1)
DOI	10.11648/j.iji.20221001.12
Page(s)	5-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Platelet/Lymphocyte Ratio (NLR), Combined Antiretroviral Therapy (cART), Human Immunodeficiency Virus (HIV), Viral Load (VL)

References

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Beatrice Wobiarueri Moore-Igwe, Ransom Baribefii Jacob, Serekara Gideon Christian, Evelyn Mgbeoma Eze. (2022). The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. International Journal of Immunology, 10(1), 5-10. https://doi.org/10.11648/j.iji.20221001.12

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Beatrice Wobiarueri Moore-Igwe; Ransom Baribefii Jacob; Serekara Gideon Christian; Evelyn Mgbeoma Eze. The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. Int. J. Immunol. 2022, 10(1), 5-10. doi: 10.11648/j.iji.20221001.12

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Beatrice Wobiarueri Moore-Igwe, Ransom Baribefii Jacob, Serekara Gideon Christian, Evelyn Mgbeoma Eze. The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. Int J Immunol. 2022;10(1):5-10. doi: 10.11648/j.iji.20221001.12

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@article{10.11648/j.iji.20221001.12,
  author = {Beatrice Wobiarueri Moore-Igwe and Ransom Baribefii Jacob and Serekara Gideon Christian and Evelyn Mgbeoma Eze},
  title = {The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria},
  journal = {International Journal of Immunology},
  volume = {10},
  number = {1},
  pages = {5-10},
  doi = {10.11648/j.iji.20221001.12},
  url = {https://doi.org/10.11648/j.iji.20221001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.iji.20221001.12},
  abstract = {Background: In other to enhance immune response and remove completely the danger of disease associated with AIDS, commencement of combination Antiretroviral Therapy (cART) is advocated. Common among HIV positive subjects are diseases such as cardiovascular conditions among others which happen when there is distortion in the gut mucosa, existence of co-infections, and long-term cART effect which gives room to vicious cycle that impairs on immune activities and inflammation. Inflammatory predictors which reveal the danger of morbidity and mortality are raised in HIV disease. A novel marker for inflammation – Platelet/Lymphocyte ratio (PLR), is a prognostic tool for assessing inflammation, atherosclerosis and platelet activation. Aim: This study was aimed at assessing prospectively, cART effect on the PLR and coagulation indices in HIV positive subjects presenting to commence cART in Rivers State University Teaching Hospital. Methods: Six milliliters of venous blood was collected from each participants into EDTA bottles at entry into the study, after 3 months and 6 months on cART respectively for Full Blood Count using a 3-part Sysmex XP300 and HIV Viral Load using RT-PCR Cobas TaqMan version 1.5 Results: A total of 40 subjects were recruited, with a mean age of 36.20 years, 14 (35%) of them were males. Mean PCV, Platelet: Lymphocyte ratio and HIV VL at Month 0 were 31.65±7.30%, 7.82±2.90 and 215767.85 ± 360338.04cp/ml respectively. There was a statistically significant increase (p th month on cART, the reduction in Platelet: Lymphocyte count and of HIV VL by the 6th month was also significant (PConclusion: From this work it is clear that all the cases in this regard, confirm the fact that cART remarkably drops the viral load and inflammation in HIV positive subjects; nevertheless, it also shows that a low-level inflammation continues which probably leads to chronic inflammatory state, morbidity and mortality in this group of subjects.},
 year = {2022}
}

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TY  - JOUR
T1  - The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria
AU  - Beatrice Wobiarueri Moore-Igwe
AU  - Ransom Baribefii Jacob
AU  - Serekara Gideon Christian
AU  - Evelyn Mgbeoma Eze
Y1  - 2022/05/31
PY  - 2022
N1  - https://doi.org/10.11648/j.iji.20221001.12
DO  - 10.11648/j.iji.20221001.12
T2  - International Journal of Immunology
JF  - International Journal of Immunology
JO  - International Journal of Immunology
SP  - 5
EP  - 10
PB  - Science Publishing Group
SN  - 2329-1753
UR  - https://doi.org/10.11648/j.iji.20221001.12
AB  - Background: In other to enhance immune response and remove completely the danger of disease associated with AIDS, commencement of combination Antiretroviral Therapy (cART) is advocated. Common among HIV positive subjects are diseases such as cardiovascular conditions among others which happen when there is distortion in the gut mucosa, existence of co-infections, and long-term cART effect which gives room to vicious cycle that impairs on immune activities and inflammation. Inflammatory predictors which reveal the danger of morbidity and mortality are raised in HIV disease. A novel marker for inflammation – Platelet/Lymphocyte ratio (PLR), is a prognostic tool for assessing inflammation, atherosclerosis and platelet activation. Aim: This study was aimed at assessing prospectively, cART effect on the PLR and coagulation indices in HIV positive subjects presenting to commence cART in Rivers State University Teaching Hospital. Methods: Six milliliters of venous blood was collected from each participants into EDTA bottles at entry into the study, after 3 months and 6 months on cART respectively for Full Blood Count using a 3-part Sysmex XP300 and HIV Viral Load using RT-PCR Cobas TaqMan version 1.5 Results: A total of 40 subjects were recruited, with a mean age of 36.20 years, 14 (35%) of them were males. Mean PCV, Platelet: Lymphocyte ratio and HIV VL at Month 0 were 31.65±7.30%, 7.82±2.90 and 215767.85 ± 360338.04cp/ml respectively. There was a statistically significant increase (p th month on cART, the reduction in Platelet: Lymphocyte count and of HIV VL by the 6th month was also significant (PConclusion: From this work it is clear that all the cases in this regard, confirm the fact that cART remarkably drops the viral load and inflammation in HIV positive subjects; nevertheless, it also shows that a low-level inflammation continues which probably leads to chronic inflammatory state, morbidity and mortality in this group of subjects.
VL  - 10
IS  - 1
ER  -

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Author Information

Beatrice Wobiarueri Moore-Igwe

Department of Medical Laboratory Science, Rivers State University, Port-Harcourt, Nigeria
Ransom Baribefii Jacob

Department of Medical Laboratory Science, Rivers State University, Port-Harcourt, Nigeria
Serekara Gideon Christian

Department of Medical Laboratory Science, Rivers State University, Port-Harcourt, Nigeria
Evelyn Mgbeoma Eze

Department of Medical Laboratory Science, Rivers State University, Port-Harcourt, Nigeria

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Beatrice Wobiarueri Moore-Igwe, Ransom Baribefii Jacob, Serekara Gideon Christian, Evelyn Mgbeoma Eze. (2022). The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. International Journal of Immunology, 10(1), 5-10. https://doi.org/10.11648/j.iji.20221001.12

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Beatrice Wobiarueri Moore-Igwe; Ransom Baribefii Jacob; Serekara Gideon Christian; Evelyn Mgbeoma Eze. The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. Int. J. Immunol. 2022, 10(1), 5-10. doi: 10.11648/j.iji.20221001.12

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AMA Style

Beatrice Wobiarueri Moore-Igwe, Ransom Baribefii Jacob, Serekara Gideon Christian, Evelyn Mgbeoma Eze. The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria. Int J Immunol. 2022;10(1):5-10. doi: 10.11648/j.iji.20221001.12

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@article{10.11648/j.iji.20221001.12,
  author = {Beatrice Wobiarueri Moore-Igwe and Ransom Baribefii Jacob and Serekara Gideon Christian and Evelyn Mgbeoma Eze},
  title = {The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria},
  journal = {International Journal of Immunology},
  volume = {10},
  number = {1},
  pages = {5-10},
  doi = {10.11648/j.iji.20221001.12},
  url = {https://doi.org/10.11648/j.iji.20221001.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.iji.20221001.12},
  abstract = {Background: In other to enhance immune response and remove completely the danger of disease associated with AIDS, commencement of combination Antiretroviral Therapy (cART) is advocated. Common among HIV positive subjects are diseases such as cardiovascular conditions among others which happen when there is distortion in the gut mucosa, existence of co-infections, and long-term cART effect which gives room to vicious cycle that impairs on immune activities and inflammation. Inflammatory predictors which reveal the danger of morbidity and mortality are raised in HIV disease. A novel marker for inflammation – Platelet/Lymphocyte ratio (PLR), is a prognostic tool for assessing inflammation, atherosclerosis and platelet activation. Aim: This study was aimed at assessing prospectively, cART effect on the PLR and coagulation indices in HIV positive subjects presenting to commence cART in Rivers State University Teaching Hospital. Methods: Six milliliters of venous blood was collected from each participants into EDTA bottles at entry into the study, after 3 months and 6 months on cART respectively for Full Blood Count using a 3-part Sysmex XP300 and HIV Viral Load using RT-PCR Cobas TaqMan version 1.5 Results: A total of 40 subjects were recruited, with a mean age of 36.20 years, 14 (35%) of them were males. Mean PCV, Platelet: Lymphocyte ratio and HIV VL at Month 0 were 31.65±7.30%, 7.82±2.90 and 215767.85 ± 360338.04cp/ml respectively. There was a statistically significant increase (p th month on cART, the reduction in Platelet: Lymphocyte count and of HIV VL by the 6th month was also significant (PConclusion: From this work it is clear that all the cases in this regard, confirm the fact that cART remarkably drops the viral load and inflammation in HIV positive subjects; nevertheless, it also shows that a low-level inflammation continues which probably leads to chronic inflammatory state, morbidity and mortality in this group of subjects.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - The Effect of cART on Platelets/Lymphocytes Ratio and Viral Load Indices in HIV+ Subjects Initiating Therapy in a Tertiary Hospital in Port Harcourt, Nigeria
AU  - Beatrice Wobiarueri Moore-Igwe
AU  - Ransom Baribefii Jacob
AU  - Serekara Gideon Christian
AU  - Evelyn Mgbeoma Eze
Y1  - 2022/05/31
PY  - 2022
N1  - https://doi.org/10.11648/j.iji.20221001.12
DO  - 10.11648/j.iji.20221001.12
T2  - International Journal of Immunology
JF  - International Journal of Immunology
JO  - International Journal of Immunology
SP  - 5
EP  - 10
PB  - Science Publishing Group
SN  - 2329-1753
UR  - https://doi.org/10.11648/j.iji.20221001.12
AB  - Background: In other to enhance immune response and remove completely the danger of disease associated with AIDS, commencement of combination Antiretroviral Therapy (cART) is advocated. Common among HIV positive subjects are diseases such as cardiovascular conditions among others which happen when there is distortion in the gut mucosa, existence of co-infections, and long-term cART effect which gives room to vicious cycle that impairs on immune activities and inflammation. Inflammatory predictors which reveal the danger of morbidity and mortality are raised in HIV disease. A novel marker for inflammation – Platelet/Lymphocyte ratio (PLR), is a prognostic tool for assessing inflammation, atherosclerosis and platelet activation. Aim: This study was aimed at assessing prospectively, cART effect on the PLR and coagulation indices in HIV positive subjects presenting to commence cART in Rivers State University Teaching Hospital. Methods: Six milliliters of venous blood was collected from each participants into EDTA bottles at entry into the study, after 3 months and 6 months on cART respectively for Full Blood Count using a 3-part Sysmex XP300 and HIV Viral Load using RT-PCR Cobas TaqMan version 1.5 Results: A total of 40 subjects were recruited, with a mean age of 36.20 years, 14 (35%) of them were males. Mean PCV, Platelet: Lymphocyte ratio and HIV VL at Month 0 were 31.65±7.30%, 7.82±2.90 and 215767.85 ± 360338.04cp/ml respectively. There was a statistically significant increase (p th month on cART, the reduction in Platelet: Lymphocyte count and of HIV VL by the 6th month was also significant (PConclusion: From this work it is clear that all the cases in this regard, confirm the fact that cART remarkably drops the viral load and inflammation in HIV positive subjects; nevertheless, it also shows that a low-level inflammation continues which probably leads to chronic inflammatory state, morbidity and mortality in this group of subjects.
VL  - 10
IS  - 1
ER  -

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